The prevalence and predictors of diabetes distress in elderly with type 2 diabetes mellitus
The prevalence and predictors of diabetes distress in elderly with type 2 diabetes mellitus
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DOI：
10.1016/j.diabres.2020.108133
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发表时间：
2020-05-01
影响因子：
5.1
通讯作者：
Zanjari, Nasibeh
中科院分区：
文献类型：
--
作者：
Azadbakht, Mojtaba;Tanjani, Parisa Taheri;Zanjari, Nasibeh
目的：糖尿病痛苦（DD）导致2型糖尿病（T2 DM）患者的损害性后果。很少有研究已经进行了DD在伊朗的老年人。本研究的目的是调查DD的患病率及其相关因素对老年人生活在库姆，Iran.Methods：本研究是横断面的，在设计。为期三个月（2018年12月至2月）。519名社区居民（60岁及以上）参加了这项研究。采用糖尿病痛苦量表（DDS）测量受试者的痛苦程度。3的切割（>= 3）被认为是痛苦的存在。此外，还评估了社会人口统计学信息。结果：研究对象的平均年龄（± SD）为68.38岁（SD：6.78），女性占53.6%。其中48.6%为DD。多变量logistic回归分析显示，女性（OR = 1.94，[1.30-2.31]），久坐生活方式（OR = 3.59，[1.43-9.03]），并发症（OR = 3.10，[2.06-4.67]），体重指数（BMI）≥ 25（OR = 2.46，[1.54-3.94]），病程10年以下（OR = 2.60，[1.564.31]），2例合并症（OR = 2.07，[1.19-3.61]）和三种或三种以上合并症（OR = 3.51，[1.20-10.27]）是DD的预测因素。结论：DD在老年T2 DM患者中有明显的患病率。关注糖尿病的心理方面是一个健康优先事项，特别是在妇女和其他高风险群体中。(C)2020 Elsevier B. V.保留所有权利。
Aims: Diabetes distress (DD) leads to damaging consequences in patients with type 2 diabetes mellitus (T2DM). Few studies have been carried out on the DD among elderly in Iran. The aim of the current study was to investigate the prevalence of DD and some of its related factors on the elderly living in Qom, Iran.Methods: This study was cross-sectional, in design. It lasted for three months (December to February 2018). 519 community dwelling (aged 60 and over) participated in the study. Participants' distress measured by diabetes distress scale (DDS). The cut of 3(>= 3) was considered as the presence of distress. In addition, socio-demographic information was assessed. In order to determine predictors factors of DD, the logistic regression analysis was applied.Results: The mean age (+/- SD) of the participants was 68.38 (SD:6.78) with the majority being female (53.6%). Among them, 48.6% were identified with DD. A multi-variable logistic regression analysis showed that being female (OR = 1.94, [1.30-2.31]), sedentary lifestyle (OR = 3.59, [1.43-9.03]), complications (OR = 3.10, [2.06-4.67]), body mass index (BMI) of 25 or more (OR = 2.46, [1.54-3.94]), duration of disease below 10 years (OR = 2.60, [1.564.31]), two comorbidity (OR = 2.07, [1.19-3.61]) and three or more comorbidity (OR = 3.51, [1.20-10.27]) are the predictors of DD.Conclusions: DD is notably prevalent among the elderly with T2DM. Attention to psychological aspects of diabetes is a health priority, especially among women and other high-risk groups. (C) 2020 Elsevier B.V. All rights reserved.